Successfully conducted a pilot project -"Medicare compliance coder" that increased the number of payments received while reducing denials and write-offs.
Demonstrated analytical & problem solving ability to address the barriers that exist in receiving payment for certain services rendered
· Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Retrieved patient medical records from physicians, technicians, or other medical personnel to assess the probability of insurance coverage
· Acquired specific CPT and ICD-9 codes to ensure proper treatment and billing of all detailed procedures
· Reviewed and processed visits from system-generated work lists, reports, and remittances to insurance companies
· Reviewed records for completeness, accuracy, and compliance with regulations.
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